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Iatrogenic Skin Disorders and Related Factors in Newborn Infants
Author(s) -
Csoma Zsanett Renáta,
Meszes Angéla,
Ábrahám Rita,
Kemény Lajos,
Tálosi Gyula,
Doró Péter
Publication year - 2016
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12960
Subject(s) - medicine , bronchopulmonary dysplasia , neonatal intensive care unit , intensive care , gestational age , mechanical ventilation , intubation , ductus arteriosus , incidence (geometry) , intensive care medicine , intraventricular hemorrhage , intensive care unit , pediatrics , emergency medicine , surgery , anesthesia , pregnancy , genetics , physics , optics , biology
Background/Objectives Recent technological advances and diagnostic and therapeutic innovations have resulted in an impressive improvement in the survival of newborn infants requiring intensive care. Consequently, with the use of modern invasive diagnostic and therapeutic procedures, the incidence of iatrogenic events has also increased. The aim of this study was to assess various iatrogenic complications in neonates requiring intensive care and determine possible contributing factors to the injuries. Methods Our prospective cross‐sectional cohort survey was conducted in a central regional level III neonatal intensive care unit ( NICU ). Correlations between intensive therapeutic interventions, complications, factors influencing attendance and prognosis, and the prevalence of iatrogenic skin injuries ( ISI s) were investigated over a 2‐year study period. Results Between January 31, 2012, and January 31, 2014, 460 neonates were admitted to the NICU , 83 of whom exhibited some kind of ISI . The major risk factors for ISI s were low birthweight, young gestational age, long NICU stay, use of the intubation–surfactant–extubation ( INSURE ) technique, surfactant use, mechanical ventilation, insertion of an umbilical arterial catheter, circulatory and cardiac support with dopamine or dobutamine, pulmonary hemorrhage, intracranial hemorrhage, patent ductus arteriosus, bronchopulmonary dysplasia, and positive microbiology culture results. Conclusion To prevent ISI s, careful consideration of risk factors and the creation of protocols ensuring efficient treatment of injuries are needed.